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MIND 饮食对多发性硬化症患者的影响:营养干预后的生化变化。

MIND Diet Impact on Multiple Sclerosis Patients: Biochemical Changes after Nutritional Intervention.

机构信息

Maimónides Biomedical Research Institute of Córdoba (IMIBIC), 14004 Córdoba, Spain.

Department of Cell Biology, Physiology and Immunology, Faculty of Veterinary Medicine, Universidad of Córdoba, 14071 Córdoba, Spain.

出版信息

Int J Mol Sci. 2024 Sep 17;25(18):10009. doi: 10.3390/ijms251810009.

Abstract

There is substantial evidence supporting the neuroprotective effects of the MIND diet in neurodegenerative diseases like Parkinson's and Alzheimer's. Our aim was to evaluate the impact of a nutritional intervention (NI) with this diet on multiple sclerosis (MS) patients. The study was conducted in two stages. In the first stage, two groups were included: MS patients before the NI (group A) and healthy control subjects (group B). In this stage, groups (A) and (B) were compared (case-control study). In the second stage, group (A) was assessed after the NI, with comparisons made between baseline and final measurements (before-and-after study). In the case-control stage (baseline evaluation), we found significant differences in fatigue scores ( < 0.001), adherence to the MIND diet ( < 0.001), the serum levels of brain-derived neurotrophic factor (BDNF) ( < 0.001), and higher oxidative status in the MS group, with lower levels of reduced glutathione ( < 0.001), reduced/oxidised glutathione ratio ( < 0.001), and elevated levels of lipoperoxidation ( < 0.002) and 8-hydroxy-2'-deoxyguanosine ( < 0.025). The before-and-after intervention stage showed improvements in fatigue scores ( < 0.001) and physical quality-of-life scores (MSQOL-54) ( < 0.022), along with decreases in the serum levels of glial-derived neurotrophic factor (GDNF) ( < 0.041), lipoperoxidation ( < 0.046), and 8-hydroxy-2'-deoxyguanosine ( < 0.05). Consumption of the MIND diet is linked to clinical and biochemical improvement in MS patients.

摘要

有大量证据支持 MIND 饮食对帕金森病和阿尔茨海默病等神经退行性疾病的神经保护作用。我们的目的是评估这种饮食的营养干预(NI)对多发性硬化症(MS)患者的影响。该研究分两个阶段进行。在第一阶段,纳入了两组:NI 前的 MS 患者(组 A)和健康对照受试者(组 B)。在这个阶段,组(A)和(B)进行了比较(病例对照研究)。在第二阶段,组(A)在 NI 后进行了评估,并对基线和最终测量值(前后研究)进行了比较。在病例对照阶段(基线评估),我们发现疲劳评分(<0.001)、对 MIND 饮食的依从性(<0.001)、脑源性神经营养因子(BDNF)血清水平(<0.001)和氧化状态在 MS 组中存在显著差异,其中还原型谷胱甘肽(<0.001)、还原/氧化型谷胱甘肽比值(<0.001)水平较低,脂质过氧化(<0.002)和 8-羟基-2'-脱氧鸟苷(<0.025)水平升高。干预前后阶段显示疲劳评分(<0.001)和身体生活质量评分(MSQOL-54)(<0.022)改善,神经胶质衍生神经营养因子(GDNF)(<0.041)、脂质过氧化(<0.046)和 8-羟基-2'-脱氧鸟苷(<0.05)血清水平降低。食用 MIND 饮食与 MS 患者的临床和生化改善有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5345/11431943/06dbd47f9e2f/ijms-25-10009-g001.jpg

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